This provider averages 51 services per working day
Based on 128.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.2M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 51 services per working day raises questions about billing patterns.
93% of their billing comes from a single procedure code (88305 — Pathology examination of tissue using a microscope, intermediate complexity).
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $91.67 | $67.80 | 1.35x | $23.87 | $733.7K | 11.8K | 8.2K |
| 2015 | $102.48 | $74.16 | 1.38x | $28.32 | $686.4K | 10.7K | 7.8K |
| 2016 | $97.13 | $78.65 | 1.23x | $18.48 | $836.7K | 12.8K | 9.1K |
| 2017 | $100.56 | $67.12 | 1.50x | $33.44 | $784.0K | 13.3K | 9.4K |
| 2018 | $139.03 | $76.32 | 1.82x | $62.71 | $771.2K | 13.1K | 9.3K |
| 2019 | $143.61 | $78.63 | 1.83x | $64.98 | $826.8K | 13.3K | 9.5K |
| 2020 | $140.23 | $81.02 | 1.73x | $59.21 | $716.6K | 11.3K | 8.4K |
| 2021 | $148.87 | $88.61 | 1.68x | $60.26 | $920.6K | 13.5K | 9.7K |
| 2022 | $140.98 | $85.94 | 1.64x | $55.04 | $939.0K | 13.8K | 9.9K |
| 2023 | $129.51 | $83.90 | 1.54x | $45.61 | $965.7K | 14.5K | 10.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 121.4K | $7.6M | $62.39 | 1.79x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 5.2K | $494.2K | $94.42 | 1.59x |
| 88342 | Tissue or cell analysis by immunologic technique | 495 | $45.7K | $92.35 | 1.38x |
| 88341 | Special stained specimen slides to examine tissue | 431 | $34.8K | $80.73 | 1.31x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 225 | $15.9K | $70.53 | 2.21x |
| G0461 | Immunohistochemistry or immunocytochemistry, per specimen; first single or multiplex antibody stain | 108 | $9.1K | $84.70 | 1.25x |
| G0462 | Immunohistochemistry or immunocytochemistry, per specimen; each additional single or multiplex antibody stain (list separately in addition to code for primary procedure) | 64 | $4.4K | $69.22 | 1.19x |
| 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 42 | $1.6K | $38.36 | 1.95x |
This provider submits charges 1.77 times higher than what Medicare actually pays.
A markup ratio of 1.77x means for every $100 Medicare pays, this provider initially charges $177. This is lower than the national average.
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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